高强度间歇训练改善了风湿性关节炎患者的心血管和身体健康:一个多中心随机对照试验
Annelie Bilberg1,2, Kaisa Mannerkorpi3, Mats Borjesson4,5
1Institute of Neuroscience and Physiology, Department of Health and Rehabilitation, Physiotherapy, University of Gothenburg Sahlgrenska Academy, Goteborg, Sweden annelie.bilberg@vgregion.se.
British journal of sports medicine
|August 23, 2024
概括
高强度间歇训练 (HIIT) 和力量炼显著改善了风湿性关节炎患者的心肺呼吸能力 (VO2max),心血管健康和整体福祉. 这些炼可以增强身体健康,而不会恶化疼痛或疾病活动.
科学领域:
- 类风湿病学 类风湿病学
- 心血管健康 心血管健康
- 运动生理学 运动生理学
背景情况:
- 类风湿性关节炎 (RA) 患者面临心血管疾病风险增加,这通常与心肺呼吸能力差 (VO2max) 有关.
- 了解有效的运动干预措施对于管理RA并发症至关重要.
研究的目的:
- 评估高强度间歇训练 (HIIT) 和力量炼对 RA 患者心血管健康,身体健康和整体健康的影响.
- 为了比较一个结合HIIT和力量计划与中等强度体力活动的效果.
主要方法:
- 一个评估者盲目的,双臂多中心随机对照试验,涉及87名RA患者.
- 干预组进行了12周的监督HIIT和力量炼.
- 对照组维持了中等强度的体力活动 (≥150分钟/周).
- 主要结局:VO2max的变化. 二次结果:人体测量,肌肉强度,整体健康,疼痛和疾病活动 (DAS28).
主要成果:
- 干预组的VO2max显著改善 (平均差异为3.71毫升/公斤/分钟).
- 在O2脉冲,减小腰围,改善坐立测试和手握强度方面观察到显著的改善.
- 干预组的整体健康状况和患者对变化的整体印象显著改善.
- 疼痛水平,DAS28或红细胞沉积率没有显著变化.
结论:
- 监督HIIT和力量炼有效地改善了RA患者的心血管健康和身体健康.
- 这些运动方式可以改善整体健康,而不会对疼痛或疾病活动产生负面影响.
- 应该考虑将HIIT和力量训练结合起来,以对患有良好控制疾病的患者进行RA治疗.
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